Keely Reece Theobald, B.S.
NPI #1326663683 in Charleston, Illinois
Provider Information
- NPI Number
- 1326663683
- Entity Type
- Individual
- Name
- Keely Reece Theobald, B.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Credential
- B.S.
- Enumeration Date
- Jun 12, 2020
- Last Updated
- Jun 12, 2020
Practice Location
- Address
- 2086 7TH STREET
- City
- Charleston
- State
- Illinois
- ZIP Code
- 61920
- Phone
- (217) 581-2712
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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